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when are expiration films done?
in working up a pneumothorax
are radiological tests most accurate tests?
Central lines should never enter what structure?
- the heart because complications include
Best initial step for tension pneumothorax
needle decompression in 2 nd right intercostal space
the right or the left lung has a normal variant called the azygos lobe?
what pneumonias are bilaterall?
BEst intial test for chlamydia?
- cold agglutinins
- urine antigen
when do you drain pancreatic pseudocysts?
- if its more than 5 cm
post operative air under the diaphragm?
no significance...it is normal
best initial test for barium swallow showing esophagitis?
- fluconazole if its better..continue
- if its not better then endoscopy to look for hsv, cmv, kaposi
PET tells you what?
- if metastasis is present
- residual cancer after sx
Mri is superior for looking at what in the brain?
- posterior fossa
difference on ct between epidural and subdural bleeds?
- epidural--pushes the brain in
- subdural conforms to the brain
next best step in managing a ring enhancing lesion in a pt with hiv and cd4<100?
pyrimethamine and sulfadiazine
steroids do what in infection or cancer in the brain?
head trauma best initial step?
ct without contrast
most accurate test for sinusitis?
main managemtn for rib fracture?
gallium follows the metabolism of what?
rx for spontaneous bacterial peritonitis?
- 3rd gen cephalosporin